Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.10 / $157.69 / $161.50	Professional		$131.10	$157.69	$161.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.75 / $161.50 / $196.38	Facility		$151.75	$161.50	$196.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Professional		$161.50	$161.50	$161.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.47 / $156.06 / $156.06	Professional		$81.47	$156.06	$156.06
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $156.06 / $156.06	Professional		$63.13	$156.06	$156.06
United Facility/Professional Professional Modifier Low / Median / High Price $162.88 / $167.51 / $177.60	Professional		$162.88	$167.51	$177.60